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恶性网状组织细胞增生症(malignant reticulositiocytosis),简称恶网,是一种既不同于白血病,又不同于一般恶性肿瘤的组织细胞系统异常增生的全身性疾病,近年来似有增多的趋势。我们曾做尸检一例,现报告如下: 患儿男性,2岁,主因发烧13天,嗜睡5天,皮疹1天入院。因高烧不退,血象偏低,在县医院诊为“再障”,而于1984年7月22日上午9时转我附院。就诊时精神差、嗜睡。胸部有针尖大小之丘疹。查体:体温40.3℃:呼吸28次/分;脉搏140次/分;肝肋下约3厘米,剑突下2厘米,质中等,有压痛,谷一丙转氨酶555单位;血常规,白细胞3560/mm~3(有次1800/mm~3);尿常规、蛋白++++,白细胞5～6/高倍视野、颗粒管型满视野。其它(一)。
Malignant reticulocytosis (malignant reticulositiocytosis), referred to as nevus, is a systemic disease that is different from leukemia, but also different from the general malignant tumor tissue cell system in recent years seems to be increasing. We have done a case of autopsy, are as follows: Male children, 2 years old, the main cause of fever for 13 days, lethargy for 5 days, 1 day admission rash. Due to high fever, blood is low, the county hospital diagnosed as “aplastic anemia”, and in July 22, 1984 9 am transfer to my hospital. When the spirit of poor treatment, lethargy. Chest tip size of the pimples. Physical examination: body temperature 40.3 ℃: breathing 28 beats / min; pulse 140 beats / min; liver ribs about 3 cm, 2 cm under the xiphoid, medium quality, tenderness, Valley ALT 555 units; / mm ~ 3 (with 1800 / mm ~ 3 times); urine routine, protein ++++, white blood cells 5-6 / high power field, particle tube type full field of vision. Other (a).